NICOLE MARIE DILGER PT,DPT
NPI 1114377132
Physical Therapist in Wausau, WI

Active since June 21, 2016Accepts Medicare Assignment
82.79/100
CMS Quality Rating
3605 STEWART AVE, WAUSAU, WI 54401(715) 847-3730 Get Directions Write a Review

NPPES record last updated: January 18, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Nicole Marie Dilger Pt,dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE MARIE DILGER PT,DPT (NPI 1114377132) is an individual physical therapist in Wausau, Wisconsin, licensed in Wisconsin (13423-24) and active in the NPI registry since June 2016. She is a graduate of Other (2016).

NPPES Registry Identity

NPI1114377132
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameNICOLE MARIE DILGERCredential: PT,DPT
Location Address3605 STEWART AVEWausau, WI 54401-4938
Mailing Address1000 N Oak AvenueMarshfield, WI 54449-3404 · (715) 387-5511
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJune 21, 2016
Last NPPES UpdateJanuary 18, 2024
NPPES CertifiedJanuary 18, 2024
✔ NPI 1114377132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in WI · 13423-24
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
3605 STEWART AVE, Wausau, WI 54401

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicole Marie Dilger Pt,dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3072897107
PECOS Enrollment IDI20170308002155

Medicare Billing Reassignments

7

Medicare enrollment records show Nicole Dilger reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
2727 PLAZA DR
Wausau, WI 54401
  • Reassigned Medicare billing, Wisconsin enrollment
  • Also billed through NPI 1952890873 (Wisconsin)
  • 2,476 clinicians in this Medicare group
Clinic/Center
1000 N OAK AVE
Marshfield, WI 54449
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,540 clinicians in this Medicare group
Critical Access
N3708 RIVER AVE
Neillsville, WI 54456
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,440 clinicians in this Medicare group
Clinic/Center
98 SHERRY AVE
Park Falls, WI 54552
  • Reassigned Medicare billing, Wisconsin enrollment
  • Also billed through NPI 1700963048 (Wisconsin)
  • 1,351 clinicians in this Medicare group
Clinic/Center
806 2ND ST
Chetek, WI 54728
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,616 clinicians in this Medicare group
Family Medicine
180 GATEWAY DR
Waupun, WI 53963
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,447 clinicians in this Medicare group
Clinic/Center
3708 FORESTVIEW RD STE 101
Raleigh, NC 27612
  • Reassigned Medicare billing, North Carolina enrollment
  • 232 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.79/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.98
Promoting Interoperability99
Improvement Activities40
Cost66.19

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
3605 STEWART AVE
WAUSAU, WI 54401
Family Medicine
3605 STEWART AVE
WAUSAU, WI 54401
Family Medicine
3605 STEWART AVE
WAUSAU, WI 54401
Physical Therapist
3605 STEWART AVE
WAUSAU, WI 54401
Physical Therapist
3605 STEWART AVE
WAUSAU, WI 54401
Family Medicine
3605 STEWART AVE
WAUSAU, WI 54401
Physical Therapist
3605 STEWART AVE
WAUSAU, WI 54401
Physical Therapist
3605 STEWART AVE, STE 200
WAUSAU, WI 54401

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Dilger's NPI number?

The NPI number for Nicole Dilger is 1114377132. It was assigned to this individual provider in the NPPES registry on June 21, 2016.

Where is Nicole Dilger located?

Nicole Dilger practices at 3605 Stewart Ave, Wausau, WI 54401. The listed phone number is (715) 847-3730.

What is Nicole Dilger's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Nicole Dilger enrolled in Medicare?

Yes. Nicole Dilger is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Nicole Dilger's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Dilger reassigns Medicare benefits to 7 organizations: Mchs Hospitals Inc (Wausau, WI), Marshfield Clinic Inc (Marshfield, WI), Memorial Hospital Inc (Neillsville, WI), Flambeau Hospital Inc (Park Falls, WI), Lakeview Medical Center Inc Of Rice Lake (Chetek, WI) and 2 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicole Dilger's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Dilger accept?

Health plans from Sanford Health Plan and Security Health Plan list Nicole Dilger as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nicole Dilger was last updated on January 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.